Laparoscopic repair of congenital diaphragmatic hernia complicated with sliding hiatal hernia with reflux in adult

Abstract

Laparoscopy is a unique method for a precise diagnosis of symptomatic congenital diaphragmatic hernia in adults being also a safe and viable technique for a successful repair at the same time. Experience of advanced laparoscopic surgery is required.

Laparoscopic repair of bochdalek diaphragmatic hernia in adults

“…[ 61 ] Historically these patients were managed either by an open transabdominal or by a transthoracic approach. However, with the expansion of laparoscopic[ 4 7 8 9 10 12 24 25 26 27 28 ] and thoracoscopic[ 74 75 76 77 78 79 80 81 82 83 84 85 ] expertise and advances in instruments, the minimally invasive approach has emerged as an attractive option. There are, however, several areas of debate and these include the following:…”

“…[ 6 ] While the laparoscopic approach is avoided in the presence of strangulation, there are reports of such surgeries being carried out in patients with incarcerated hernias, following the opening up of the diaphragm defect radially to reduce the viscera. [ 23 25 ] Patients with gangrenous gut would require extensive resection of hernia contents and reconstruction. [ 25 95 ] Minimally invasive techniques have been reported to result in reduced morbidity and might also improve the ease of hernia reduction, hemostasis, and adhesiolysis[ 5 7 8 23 24 25 67 ] [ Figure 2 ].…”

“…[ 23 25 ] Patients with gangrenous gut would require extensive resection of hernia contents and reconstruction. [ 25 95 ] Minimally invasive techniques have been reported to result in reduced morbidity and might also improve the ease of hernia reduction, hemostasis, and adhesiolysis[ 5 7 8 23 24 25 67 ] [ Figure 2 ]. The distinct advantages of laparoscopy noted in this review are low morbidity (9%), no mortality, and short hospital stay (of 4 days).…”

“…With the expansion of laparoscopic experience in various intraabdominal surgeries, there are several reports now of BH being successfully managed by a laparoscopic approach. [ 4 7 8 9 10 24 25 26 27 28 ] This article reviews the literature with regard to the clinical features, complications, predisposing factors, investigations, various surgical approaches, and the feasibility and outcome of laparoscopic approach in patients with BH.…”

Respiratory Distress Indicative of a Right Bochdalek Hernia in a Central African Newborn

“…Open Journal of Pediatrics After birth, CDH exhibits clinical disparity and the mechanism of delayed clinical expression is poorly understood. It would be the obstruction of the diaphragmatic hernial orifice by the abdominal organs such as: the liver or the spleen which would condition the time of appearance of the signs [10] [11] But, it is known that in 5% to 25% of cases, congenital diaphragmatic hernia is revealed in the neonatal period and in the majority of cases during childhood and rarely in adulthood [12] [13]. In the early neonatal period, the diagnosis of CDH can be made in front of the triad: respiratory distress as in this observation, deviation of heart noises and a flat abdomen, see in front of a picture of acute asphyxiation [8] [13].…”